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INDIAN RIVER COUNTY <br /> j RIGHT-OF-WAY REVIEWIPERMIT APPLICATION ''ll nn <br /> DATE (� `� R.O.W.PERMIT NO. �D I S V`�1 O 3'; 1 <br /> APPLICANT Indian River County c/o Joseph W Schulke,P.E. 772-770-9622 <br /> 1717 Indian River Blvd,Suite 201 Vero Beach,FL 32960 PHONE <br /> ADDRESS <br /> CONTRACTOR TBD <br /> NAME EMERGENCY PHONE NO,(REQUIRED) <br /> ADDRESS U1_6 OFFICE PHONE NO. <br /> LOCATION OF WORK5 16th Street,Vero Beach,FL 32960 Parcel ID No.:33390100000500000005.0 <br /> STREET ADDRESS <br /> N/A <br /> LOT BLOCK SUBDIVISION UNIT <br /> DESCRIPTION OF WORK Modify existing driveway,modify center lane,remove median and extend bi-directional tum lane <br /> 75 ft to the east,construct water and server utility extensions. -41L <br /> WMW JnG (Lvu/ <br /> +t ITE `012 ;Vg ONE) RESIDENTIAL COMMERCIA <br /> RAFFIC ENQ'11VEE4JNLG,,t-IVISION LAND DEVELOPMENT SITE PLAN <br /> 1r1AINTENANCE OF 19"I'lpIC "Vi <br /> UTILITY( _VATE d I� i E Cj"! a <br /> i- JU Juilwil IRCL ONE) / VBLIC PBIVATE <br /> / 3 asd/ucu// 9k�di� SEP 1 12615 <br /> ST E REVUE (CIRCLE ONE)��/ YES ND <br /> CONSTRUCTION TYPE: TRAF FiC i=NGINEERING <br /> tl DRIVEWAY* CABLE TV7 UNDERGROUND <br /> STREET PAVING ELECTRICITY OVERHEAD <br /> jt�SIDEWALKSICURBS TELEPHONE STORM DRAINAGE <br /> RIGHT-OF-WAY WATER SYSTEMS CLEARING <br /> _V9—SANITARY SEWER OTHER <br /> NOTE. 1. Detailed drawings shall be submitted with each application. <br /> 2. This permit is issued subject to all conditions on reverse side of this application. <br /> 3. A signature by the contractor shall be construed as making the contractor personally liable for all permit <br /> conditions unless contractor attached written proof of authorization to act on behalf of the applicant <br /> 4. All wS "ubjeqqo final inspection by Engineering Division. Call 770-5455,`AIRS" (automated inspection <br /> re est sys a schedule inspections for any permit issued after January 1,2003. <br /> IV Joseh W.Schulke,P. <br /> APPLIC ICON CTOR SIGNATURE�J �/' AME(PLEASE PRINT) E <br /> OFFICE USE ONLY NOTES: <br /> PERMIT FEE§ I T A 1 D <br /> W_) _ f-� <br /> ISSUING OFFICEb` <br /> DATE ISSUED '// ZPl SEP 14 2015 <br /> EXPIRATION DATE 14,/ <br /> �_ Fer6��13`M <br /> Rev.7118!04 C:1Documerds and Settings�webmasteADesktopIROW APPLICATION FORM.doc I <br /> � l 0 Y3 <br /> 011100-10 <br />